Centro Universitário Newton Paiva. Belo Horizonte, Minas Gerais, Brazil.
Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.
Rev Bras Enferm. 2024 Nov 22;77(5):e20230493. doi: 10.1590/0034-7167-2023-0493. eCollection 2024.
To analyze the configuration of power relations among the multiprofessional team in the bedside round process in the hospital.
Qualitative research with data analyzed through discourse analysis, based on Michel Foucault's theoretical framework. From September to December 2022, we conducted interviews and field observations with the multiprofessional team at a hospital in Belo Horizonte, Minas Gerais, Brazil, as well as qualitative, semi-structured interviews with 37 professionals.
The participants pointed out that the experiences of the professionals involved in bedside rounds depend on how the physician conducts the process, and the physician-centered process makes it difficult for other professionals in the team to participate.
The way hospitals organize bedside rounds does not promote knowledge articulation for their professionals. It hinders the circulation of power and harms interdisciplinary work in a process that maintains the physician as the main actor in clinical decisions.
分析医院床边查房过程中多专业团队之间的权力关系结构。
这是一项基于米歇尔·福柯理论框架的定性研究，对数据进行话语分析。2022 年 9 月至 12 月，我们对巴西米纳斯吉拉斯州贝洛奥里藏特的一家医院的多专业团队进行了访谈和现场观察，并对 37 名专业人员进行了定性、半结构化访谈。
参与者指出，参与床边查房的专业人员的经验取决于医生如何进行该过程，而以医生为中心的过程使得团队中的其他专业人员难以参与。
医院组织床边查房的方式不利于专业人员之间的知识交流。它阻碍了权力的流通，破坏了跨学科工作，使医生在临床决策中仍然是主要角色。
